NPI 1023104106
Harvey William Marcellus, PAC
Practice location
- Address
- 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116
- Phone
- (601) 364-1200
- Fax
- (601) 368-3875
- Mailing address
- 709 Dunleith Ln, Ridgeland, MS 39157-1550
Registered specialties
Special Hospital
Primary
Registry record
- NPI
- 1023104106
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 5 Oct 2006
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.